ROGER PATRICK SULLIVAN M.D.
NPI 1346534484
Family Medicine in Charleston, SC

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
98.29/100
CMS Quality Rating
9228 MEDICAL PLAZA DR, DEPT FAMILY MEDICINE, CHARLESTON, SC 29406(843) 876-7080 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roger Patrick Sullivan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER PATRICK SULLIVAN M.D. (NPI 1346534484) is an individual family medicine provider in Charleston, South Carolina, licensed in South Carolina (LL33609) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1346534484
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROGER PATRICK SULLIVANCredential: M.D.
Location Address9228 MEDICAL PLAZA DR, DEPT FAMILY MEDICINECharleston, SC 29406-9125
Mailing Address9228 Medical Plaza Dr, Dept Family MedicineCharleston, SC 29406-9125 · (843) 876-7080
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateJune 7, 2011
NPI 1346534484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · LL33609
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9228 MEDICAL PLAZA DR, Charleston, SC 29406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Roger Patrick Sullivan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335450477
PECOS Enrollment IDI20150616002841
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
83,600 services216 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,375 services820 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,237 services340 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
802 services562 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
684 services520 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
604 services505 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.89
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Immunizations for Adolescents
Patients HPV: 35% · 55 patients
Patients meningococcal: 45% · 56 patients
Patients Tdap: 52% · 56 patients
29%56 patients
Melanoma: Continuity of Care - Recall System
100%209 patients
Melanoma: Coordination of Care
100%28 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,849 patients
Patients screened: 97% · 1,849 patients
27%118 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%2,463 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%600 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Radiology (Vascular & Interventional Radiology)
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Physician Assistant
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Nurse Practitioner
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Sullivan's NPI number?

The NPI number for Roger Sullivan is 1346534484. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Roger Sullivan located?

Roger Sullivan practices at 9228 Medical Plaza Dr Dept Family Medicine, Charleston, SC 29406. The listed phone number is (843) 876-7080.

What is Roger Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roger Sullivan enrolled in Medicare?

Yes. Roger Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roger Sullivan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Roger Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Roger Sullivan affiliated with any hospitals?

According to CMS data, Roger Sullivan is affiliated with Roper Hospital.

When was this NPI record last updated?

The NPPES record for Roger Sullivan was last updated on June 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.